How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5.50 Median $11.48 Typical High $42.66 | Facility | None | $5.50 | $11.48 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.51 | Professional | None | $5.50 | $5.50 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $4.57 Median $20.89 Typical High $31.62 | Facility | None | $4.57 | $20.89 | $31.62 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.27 Median $6.92 Typical High $9.77 | Professional | None | $4.27 | $6.92 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $15.85 Typical High $22.91 | Facility | None | $5.89 | $15.85 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $7.24 Typical High $12.30 | Professional | None | $5.50 | $7.24 | $12.30 |
Medica Setting Facility Modifier None Typical Low $6.03 Median $8.13 Typical High $100.00 | Facility | None | $6.03 | $8.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $8.13 | Professional | None | $4.90 | $6.61 | $8.13 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $8.13 | Professional | None | $4.90 | $6.61 | $8.13 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.10 |
Where Arizona sits
The same service costs 7.1 times more in Minnesota than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 46th of 51
$7.08
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.